| NPI | 1548683980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYNNETH HAMILTON Office Assistant 586-920-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012427) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |